Mid Term Exams - NUR 101 - Medication Administration From Foundations I

1. A metered-dose inhaler is a form of medication usually used by patients with what kind of problem?

Cardiac

Respiratory

Neuro-sensory

Muscular

p. 708

Explanation

p. 708

2. Match the terms used with dosages on the left with its corresponding definition on the right

Minimal Dose

Maximal Dose

Toxic Dose

Lethal Dose

p.692

Explanation

p.692

Submit

3. A patient has to take 10 mg of hydrocodone, a controlled narcotic. There are only two 5 mg. tablets left and available. While preparing the tablets, one tablet accidentally fell on the floor. What would the nurse do next?

Pick up the tablet and proceed with administration.

Allow a second nurse to witness the documentation of the accidental disposal of the tablet

Withhold the drugs and document that patient refused them.

Proceed with just one 5 mg tablet and document.

page 696

Explanation

page 696

4. Which of the following is not a requirement in a medication order?

Patient's name and date of birth

Signature of pharmacist who prepared the drugs

Date and time of the order

Name and Dosage of the Drug

Signature of the Physician

page 696

Explanation

page 696

5. Best patient position when administering a rectal suppository

Sim's on left side with upper leg flexed at knee

Sim's on right side with lower leg slightly bended

Supine with slightly bent knees

Prone at 180 degrees

p. 706

Explanation

p. 706

6. Mr.. Jones has been taking a proton pump inhibitor for more than 3 years because of his chronic GERD. Every year, when his prescription is refilled, his dosage is increased. His response to this proton pump inhibitor could be considered what?

Drug dependence

Drug use

Drug tolerance

Drug dosage

Mr. Jones' increasing dosage requirement over time indicates that he has developed drug tolerance. Drug tolerance occurs when the body becomes less responsive to a drug, requiring higher doses to achieve the same effect. In this case, Mr. Jones' chronic use of the proton pump inhibitor has led to a decreased effectiveness of the drug, necessitating an increase in dosage to maintain its efficacy. Thus, his response to the proton pump inhibitor can be considered drug tolerance.

Explanation

Mr. Jones' increasing dosage requirement over time indicates that he has developed drug tolerance. Drug tolerance occurs when the body becomes less responsive to a drug, requiring higher doses to achieve the same effect. In this case, Mr. Jones' chronic use of the proton pump inhibitor has led to a decreased effectiveness of the drug, necessitating an increase in dosage to maintain its efficacy. Thus, his response to the proton pump inhibitor can be considered drug tolerance.

7. Amount of drug prescribed for a patient by a physician in a given amount of time or at a given frequency.

Route

Number of Tablets

Dosage

Prescription

p. 692

Explanation

p. 692

8. Which of the following statements indicate a correct definition of enteric-coated tablet.

Candylike coated shell encases tablet to keep tablet from being absorbed in the intestine; absorption takes place in the stomach.

Candylike coated shell encases tablet to keep tablet from being absorbed in the stomach; absorption takes place in the intestine.

It is a tablet with a slight indentation in the middle to facilitate cutting the table in half when needed

Enteric means large intestine

p. 703

Explanation

p. 703

9. Which of the following is not considered safe?

Follow the six rights of medication administration

Be sure to read labels at least once

Use three patient identifiers

Question unusually large or small doses

p. 702

Explanation

p. 702

10. For an oral medication to reach the blood stream faster, drugs should be taken with....

An empty stomach

A full stomach

A catalyst

An electronic pump

p. 694

Explanation

p. 694

11. Which of the following is not considered part of the "three label checks" of medication administration?

Check label when taking medication from its storage area

Check label before discarding or replacing the medication container and before giving the medication to the patient.

Check label before removing medication from its container

Check label right after giving medication to patient.

p. 699

Explanation

p. 699

12. A 5 month old is to be immunized for DTP. What type of injection will be given and which site?

Sub Q - Deltoid

Sub Q - Abdominal

IM - Gluteus Maximus

IM - Vastus Lateralis

p. 721.

Explanation

p. 721.

13. A drug name usually written in upper case and is considered a brand name

Generic

Chemical

Trade

Manufacturer

The correct answer is "Trade." A drug name written in upper case and considered a brand name refers to the trade name of the drug. This name is typically used by the manufacturer to market and sell the drug. It is different from the generic name, which is the common name for the drug based on its chemical composition. The trade name helps distinguish the drug from other similar medications in the market.

Explanation

The correct answer is "Trade." A drug name written in upper case and considered a brand name refers to the trade name of the drug. This name is typically used by the manufacturer to market and sell the drug. It is different from the generic name, which is the common name for the drug based on its chemical composition. The trade name helps distinguish the drug from other similar medications in the market.

14. A patient told you, "Dr. Brown just told me to tell you that I can take an extra tablet of Vicodin tonight so that I can sleep better". After reviewing the MAR, you discovered that "VICODIN", a narcotic pain reliever, is not even part of her medication. What would be the most appropriate thing to do next?

Get back to the patient and inform him/her that Vicodin is not even part of her medication.

Talk to your nurse supervisor to see what should be done

Call the physician and verify the patient's request. Ask for a phone order and then document before administration.

Ignore the patient's request and go home. The medication is not part of the MAR.

p. 702

Explanation

p. 702

15. When a nurse returns to assess a patient's response to the medication, which part of the nursing process is being fulfilled?

Assessment

Diagnosis

Outcome and Goals

Planning

Implementation

Evaluation

p. 702

Explanation

p. 702

16. It is now 8:15 am and you still have 4 patients left to administer their medication. Which of these four will you see first?

A patient who needs Potassium Sulfate NOW

A patient who has to take 10 mg of Morphine STAT

A patient who needs to take Digoxin at 8:00 am

A screaming patient who says he can take Vicodin ASAP

p. 696. STAT is number one priority

Explanation

p. 696. STAT is number one priority

17. Naloxone is an antidote for Morphine. Based on drug interactions, Naloxone is then considered as what?

Agonistic

Antagonistic

Idiosyncratic

Synergistic

p. 693

Explanation

p. 693

18. Uses a security code to access only those medications prescribed for a specific patient.

Unit Dose system

Computer Controlled dispensing System

Modular Distribution

Secured Distribution

p. 695

Explanation

p. 695

19. When administering a tubal medication, which of the following is a right way to check the placement and patency of the tube?

Attach Asepto syringe to end of NG tube and wait if an aspirate is extracted.

Measure pH of aspirate using salicylic acid

Ask the patient if he or she feels the tube inside.

p. 705

Explanation

p. 705

20. Most people take caffeine as a stimulant. When someone takes it as a sedative, the effect of caffeine is then said to be what?

Idiopathic

Idiogenetic

Idiosyncratic

Idiologic

p. 693

Explanation

p. 693

21. When a drug causes toxic effects to pregnancy, how is it considered in relation to pregnancy?

Contraindicated

Compatible

Therapeutic

Toxic

p. 693

Explanation

p. 693

22. Based on a portable cart, containing a 24-hour supply of medications for each patient. Each medication is individually wrapped in a unit-dose which is the ordered dose of medication the patient is to receive at each prescribed time

Unit dose system

Computer controlled dispensing system

Modular Distribution

Portable method

page 695.

Explanation

page 695.

23. Referring to pain, when Advil and Motrin are taken at the same time, Advil could boost the effects of Motrin and vice versa. What do you call this effect?

Synergism

Compatibility

Agonistic

Antagonistic

p. 692 synergism is the same as potentiation.

Explanation

p. 692 synergism is the same as potentiation.

24. So as not to irritate the GI tract, when should non-enteric coated PRN tablets be administered?

After meals or during meal time

Before meals

Without meals

Mixed with food

p. 694

Explanation

p. 694

25. With regards to pain, taking both Advil and Motril simulatenously could be considered to have what kind of effect?

Synergistic

Idiosyncratic

Antagonistic

Toxic

p. 692

Explanation

p. 692

26. What does the Medication Reconciliation Protocol, a national safety goal initiated by the Joint Commission in 2005, include?

List of patient's current medication as compared to the medication received in the hospital

Involves medication history

Involves drug allergies

List of drugs the client does not like to take

p. 699

Explanation

p. 699

27. A 78-year old man has to take Aspirin for his heart problems. He is also suffering from stomach ulcer. What is the most relevant and appropriate way to administer this medication?

Have patient rinse oral cavity frequently with clear tepid water

Have patient drink full glass of water and take medication with nonfat snacks

Position patient upright when taking the medication

Monitor blood chemistry for hepatic toxicity

page 694

Explanation

page 694

28. When two drugs are COMPATIBLE, they could also be everything mentioned below except for what?

Synergistic

Agonistic

Antagonistic

Therapeutic

When two drugs are compatible, they cannot be antagonistic, p. 693

Explanation

When two drugs are compatible, they cannot be antagonistic, p. 693

29. Which of the following statements are true regarding "Right Documentation"? Select all that apply:

Never record on the chart any medication that you did not give or record them before you give them.

In an ambulatory care, where immunizations are given, there is no need to include the lot number of a an administered medication

Never give medication prepared by another nurse even if that nurse is your supervisor

Note complains or adverse effects on the chart and report them to head nurse and physician

p. 700

Explanation

p. 700

Submit

30. Which of the following is not true regarding the right route in the administration of medication?

All parenteral medications are labeled "for injectable use only"

The route choosing for administering a drug depends on the drug's properties, the desired effect, and the patient's physical and mental condition

It is always acceptable to administer an intramuscular medication as a subcutaneous medication as long as there is no specified contraindication

Serious complications will result if a liquid intended for oral use is injected.

page 700

Explanation

page 700

31. When one drug has a long duration and another drug has a long half life, these two drugs will have a longer time for excretion when taken at the same. They could build up in the body which could lead to a toxic or lethal effect. What is this effect referred to?

Cumulative

Agonistic

Idiosyncratic

Antagonistic

p. 692

Explanation

p. 692

32. Which of the following factors do not affect how a patient responds to medication?

Age and weight

Physical Status and Health

Mood and Temper

Environmental Temperature

Gender

p. 693

Explanation

p. 693

33. Which of the following statements are true regarding Eardrops? Select all that apply

Labeled as "otic"

Have them at room temperature

Refrigerate unused portion of the medication

Each patient should have an individual bottle

Eardrops are labeled as "otic" because they are specifically formulated for use in the ear. It is recommended to have them at room temperature for optimal effectiveness and comfort. Refrigerating the unused portion of the medication helps to maintain its stability and prevent contamination. Each patient should have an individual bottle to avoid cross-contamination and ensure proper dosage and administration.

Explanation

Eardrops are labeled as "otic" because they are specifically formulated for use in the ear. It is recommended to have them at room temperature for optimal effectiveness and comfort. Refrigerating the unused portion of the medication helps to maintain its stability and prevent contamination. Each patient should have an individual bottle to avoid cross-contamination and ensure proper dosage and administration.

Submit

34. An 8-year old child who recently migrated from Africa has slight symptoms of Murasmus. He was admitted to the Emergency Department because of burns caused by hot oil. An order for a topical ointment is to be administered. Which of the following methods would be the most used before applying medication.

Young's Rule

Clark's Rule

Fried's Rule

Body Surface Area

page 691

Explanation

page 691

35. Match the following percutaneous medication with their description

ointment

creams

lotions

transdermal patches

Submit

36. A common resource book used as a reference for unfamiliar medication

Physician's Desk Reference

Wikipedia

Encyclopedia Brittanica

Taber's Nursing Drug Book

p. 693

Explanation

p. 693

37. General Types of Drug action. Select all that apply:

Regional

Systemic

Local

Topical

p. 692

Explanation

p. 692

Submit

38. Method to calculate the appropriate dose of a drug for a child 2 years of age or older

Young's Rule

Clark's Rule

Body Surface Area

Fried's Rule

p. 691

Explanation

p. 691

39. Which of the following is a true benefit of nasal sprays?

Absorbed quickly, less medication is used and wasted

Absorption is gradual, therefore more medication is dispersed

Absorption is direct, therefore results are felt quickly

Absorption is painless, therefore a more preferred form

p. 708

Explanation

p. 708

40. In a nursing home, when a patient is unconscious, which are the acceptable ways on confirming the right patient identification?

The picture of the patient on the MAR

Asking another nurse who knows the patient better

Asking the person beside the patient whom you will assume is a family member.

Asking another patient who seem confused.

p. 700

Explanation

p. 700

Submit

41. Match the pharmaceutical terms on the left with a definition on the right

pharmacology

pharmaceutical phase

pharmacokinetic phase

pharmacodynamic phase

metabolite

p. 692

Explanation

p. 692

Submit

42. Intravenous medications are administered through several methods. Select all that apply:

Bolus

PCA

Piggyback

Intrathecal

Electronic Pumps

pp. 728-729

Explanation

pp. 728-729

Submit

43. Rule used for infants less than 2 years of age

Young

Clark

Fried

BSA

p.691

Explanation

p.691

44. Which of the following are considered safe medication practices? Select all that apply

Involve the patient to help protect against errors

Giving a medication to a patient on time is the most important thing to consider

Report errors only when there are adverse effects

Make pharmacists part of the team

Take MAR to the bedside.

p. 701

Explanation

p. 701

Submit

45. Drugs enter the body through three general routes. What are they? Select all that apply.

Enteral

Topical

Parenteral

Percutaneous

Intravenous

p. 702

Explanation

p. 702

Submit

46. Match the units on the left with corresponding conversions on the right

1 g.

1 fl oz.

15 gr

1 gr

1 kg.

1 teaspoon

1 qt.

pages 688-689

Explanation

pages 688-689

Submit

47. Instillation is a form of percutaneous administration. They include which of the following? Select all that apply:

Sublingual

Oral

Inhalation

Buccal

p. 707

Explanation

p. 707

Submit

48. Formulae used for Pediatric Administration of Medication. Select all that apply

Young's Rule

Clark's Rule

Fried's Rule

Body Surface Area

pp. 690-691

Explanation

pp. 690-691

Submit

49. Match the form of medication with its description on the right

powder

pills

tablets

liquids and suspensions

suppositories

PO

tubal

suppository

enema

p. 702-703

Explanation

p. 702-703

Submit

50. Which of the following is a percutaneous form of medication?

Topical

Buccal

Inhalation

Intradermal

p. 707

Explanation

p. 707

Submit